REGISTRATION ASSOCIATE - 48/52 WEEKENDER

Covenant HealthCare

Summary:
A Scheduler/Registration/Verification Associate demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant. The Associate is responsible for scheduling procedures for multiple departments, account creation, obtaining and verifying demographic and insurance information, authorization and collection of copayments. Responsible for keeping up to date with government regulations. Obtains and verifies that the Consent for Treatment /Release of Information and payor specific documents, are signed according to legal guidelines and Administrative Policies. Informs and helps to educate patients on Advance Directives. Performs telephone pre-registration of patients having procedures or treatments in the future at Covenant HealthCare. A primary aspect of this role includes positive relations with patients, guests, physicians, co-workers and other departments. Must be able to work well with the public and to be tactful in often hectic and stressful situations.

Responsibilities:
The responsibilities for this position are:
Promote a positive first impression. Answer customer questions related to admissions, scheduling, insurance and billing.
Work as a resource to all units, departments and team members to positively impact patient care, customer satisfaction and financial reimbursement.
Has knowledge and technical competency of the various workflows to work all areas of registration including ECC, outpatient, inpatient admitting, scheduling, pre-registration.
Proficient in Epic ADT and Cadence. Knowledgeable of Enterprise Billing.
Accurately records all information related to patient’s diagnosis and procedure. Uses proper medical terminology and spelling.
Explain to patient examination preparations for tests done in Imaging and Diaganostics Services Department.
Obtain and enter complete, accurate demographic information in a time restricted environment.
Ability to work independently in all facets of registration, verification, authorization and scheduling having effective problem identification and resolution skills.
Independent with equipment technology which includes computers, fax machines, printers, label printers, copiers, credit card processers, scanners, etc. Has the ability to troubleshoot equipment failure, change toner, labels, ribbons, etc.
Knowledge of the many Federal, State and Local government regulations as they relate to Patient Access and billing requirements. These include but are not limited to EMTALA, COBRA, HIPAA, Important Message from Medicare, Red Flag Rules, Advance Beneficiary Notice, Medicare Secondary Payer, No Fault Laws and Worker’s Compensation rules. Stays up to date with changes to regulations.
Explain hospital admission policies and use appropriate organizational/priority-setting skills to facilitate the coordination of patients getting to the appropriate setting.
Responsible to interview patients to obtain and accurately record pertinent information necessary for the work flow of other departments (Clinical Resource Management, Central Business Office, Nursing Units, Security, Pastoral Care, Physician Offices, MMR, etc.).
Maintain multiple insurance computer on-line sign-ons and has ability to interpret and glean necessary information from the multiple insurance sites.
Requires extensive knowledge of multiple insurances and the various insurance’s billing regulations.
To enable electronic claim submission without CBO intervention verifies insurances, uses knowledge and decision making skills to correctly determine set up and filing order of the insurances.
Maintain the hospital’s electronic record system for Advance Directives. Assists and educates patients as needed.
Responsible for obtaining and verifying that the Consent for Treatment /Release of Information and necessary documents, are signed according to legal guidelines and Administrative Policies
Facilitate and investigate referral and authorization status for managed care patients.
Knowledge of how to identify copayments due from various insurances. Fiscally responsible to accept payments of cash, check, credit card and/or set up payroll deduction. Properly post payments and supply patient with accurate receipt.
Demonstrates high level of personal integrity when receiving patient valuables. Accurately document the information needed for safe-keeping at Covenant HealthCare.
Answer telephones utilizing proper telephone etiquette.
Demonstrate effective interpersonal communication methods and skills, using lines of authority appropriately.
Ability to handle varying levels of stressful situations; able to function in a fast paced “team” environment with frequent interruptions.
Maintains confidentiality in relation to patients/families and the organization
Participates in departmental meetings, training sessions, and compliance updates to meet institutional requirements.